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A clinico-pathological study of cervical carcinoma in South Eastern Nigeria; a five-year retrospective study
1Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria. geraldudigwe@yahoo.com
Objective:
To determine the pattern of clinical presentation of carcinoma of the cervix in Nnewi Southeast Nigeria with a view to determining strategies for intervention.
Method:
This is a retrospective descriptive study involving all cases of clinically diagnosed carcinoma of the cervix seen over a five year period.
Results:
Forty three case notes were available for study. The age range was 38 to 87 years with a peak age incidence of 51 to 60 years. The commonest symptom at presentation were postmenopausal bleeding (51.2%), vaginal discharge (32.6%), postcoital bleeding (9.3%) and irregular vaginal bleeding (7%). Nearly 80% presented with the advanced form of the disease with 20 (46.5%) and 14 (32.6%) presenting in stage III and IV respectively. 27(62.8%) were lost to follow up at various stages ofmanagement.
Conclusion:
The pattern of presentation follow known trends. Lack of facilities for radiotherapy and loss to follow up are major obstacles in the management of carcinoma of the cervix.